Category: English

Introduction

In a testament to Burjeel’s advanced interventional capabilities, a complex endovascular procedure was successfully performed to treat a potentially life-threatening vascular complication. This case study highlights the cutting-edge techniques employed by our interventional radiology team to manage an inferior mesenteric artery pseudoaneurysm in a critically ill patient.

Patient Presentation

The patient presented with a complex medical profile including several critical conditions:

• Inferior mesenteric artery pseudoaneurysm
• Pseudomonas pneumonia
• Respiratory failure requiring tracheostomy
• Sepsis
• Gastrointestinal bleeding
• Additional comorbidities including moderate open-angle glaucoma, bilateral dry eye syndrome, and thyrotoxicosis

This constellation of conditions presented significant challenges for treatment, requiring a multidisciplinary approach and minimally invasive techniques to minimize procedural risk.

Procedural Technique

The interventional team, led by Dr. Mohamed Almarzooqi, Medical Director & Consultant in Interventional Radiology, with anesthesia support from Dr. Sivan Pillay Azhagappan, performed a selective mesenteric angiography with transcatheter coil embolization.

The procedure involved:

1. Ultrasound-guided vascular access via the right common femoral artery
2. Insertion of a 6F vascular sheath
3. Selective catheterization and angiography of multiple vessels:
   • Superior mesenteric artery
   • Right and left ileocolic arteries
   • Inferior mesenteric artery (IMA)
4. Identification of a pseudoaneurysm in the IMA, located a few centimeters from its origin
5. Navigation past the aneurysm using a micro-catheter and microwire system
6. Precise deployment of embolic coils to exclude the aneurysmal segment
7. Confirmation of successful treatment with post-procedure angiography showing no residual flow into the aneurysm
8. Hemostasis achieved using an Angio-Seal closure device

The patient tolerated the procedure well, despite the complex underlying medical conditions.

Clinical Significance

Mesenteric artery pseudoaneurysms represent rare but potentially catastrophic vascular lesions that can lead to life-threatening hemorrhage if left untreated. Traditional open surgical repair carries significant risks, particularly in critically ill patients with multiple comorbidities. Transcatheter embolization offers a minimally invasive alternative with reduced procedural morbidity while effectively treating the underlying vascular pathology.

Burjeel’s Endovascular Capabilities

This case exemplifies Burjeel’s commitment to providing advanced interventional services across its network. With state-of-the-art facilities including:

• 7 catheterization laboratories
• 1 bi-plane catheterization laboratory
• Hybrid operating rooms
• Advanced imaging systems

The healthcare network is equipped to handle complex endovascular procedures that require specialized expertise and cutting-edge technology.

Conclusion

The successful management of this complex case demonstrates the high level of interventional capability available at Burjeel facilities. Through the application of advanced endovascular techniques, the interventional team was able to effectively treat a potentially life-threatening condition while minimizing procedural risk in a medically complex patient.

Experts

Introduction

Burjeel Medical City continues to lead the way in advanced surgical interventions with a groundbreaking osseointegration procedure performed on a 57-year-old patient with a history of transtibial amputation. This innovative approach addresses common socket-related complications, offering improved mobility and quality of life for amputees facing chronic prosthetic challenges.

Patient History

The patient presented with significant socket-related issues stemming from a short residual limb. Years of conventional prosthetic use had resulted in thickening of the distal stump and callosity formation, despite previous skin grafting interventions. As a non-smoker with Type 2 diabetes, the patient represented a suitable candidate for this advanced surgical approach.

Clinical Assessment

Examination revealed clear evidence of soft tissue thickening and callosity at the distal end of the residual limb, consistent with chronic socket-related pressure and friction. The medical team noted healed graft sites on distal sections of the stump without any signs of active infection or ulceration, confirming candidacy for the procedure.

Surgical Approach

Under the expert guidance of a specialized surgical team including Dr. Munjed Al Muderis, Dr. Michael George Uglow, Dr. Ahmed Hammouda, and anesthesiologist Dr. Ahmed Omran, the osseointegration procedure was meticulously performed at Burjeel Medical City’s state-of-the-art surgical facility.

The surgical technique involved:

• Minimal skin incision using a corer to preserve tissue integrity
• Conservative soft tissue dissection to maintain stability and vascularity
• Preservation of posterior soft tissue and hyperkeratotic skin to minimize stoma infection risk
• Sequential reaming of the distal tibial medullary canal from 8mm to 23mm
• Fluoroscopy-guided broaching up to 24mm for precise implant positioning
• Insertion of an OPL Tibial Type D implant (24×80mm) with press-fit fixation

This approach achieved excellent rotational stability with minimal bleeding upon tourniquet release, eliminating the need for flap refashioning.

Benefits of Osseointegration

Osseointegration represents a revolutionary advancement for amputees facing challenges with traditional socket prosthetics. By directly anchoring the prosthetic limb to the bone, this technique eliminates common issues such as:

• Socket discomfort and pain
• Skin irritation and breakdown
• Limited range of motion
• Difficulty with prosthetic fitting
• Reduced proprioception and stability

Patients typically experience improved mobility, enhanced sensory feedback, and greater freedom from the limitations of socket-based systems.

Burjeel Medical City’s Advanced Surgical Capabilities

This procedure showcases Burjeel Medical City’s commitment to providing cutting-edge surgical interventions across its network of facilities in Abu Dhabi, Dubai, Al Ain, Sharjah, Al Dhafra, and Oman. With 70 operating rooms and specialized equipment including 7 catheterization laboratories, Burjeel Medical City’s surgical infrastructure supports complex procedures that transform patients’ lives.

Conclusion

The successful osseointegration procedure demonstrates the advanced surgical capabilities available at Burjeel Medical City facilities. By embracing innovative techniques, the surgical team continues to provide life-changing solutions for patients with complex medical challenges, maintaining Burjeel Medical City’s position at the forefront of healthcare excellence in the region.

Experts

High blood pressure which is commonly known as hypertension is a condition that have been affecting millions of people worldwide. It’s a condition that occurs when the blood force against your arteries become so strong that would lead to potential risks like heart disease, stroke and even kidney problems. Hypertension would ideally develop without noticeable symptoms which makes it important to understand its major risk factors, management strategies and even prevention methods to ensure that your heart is well-protected to ensure an overall well- being. 

What is High Blood Pressure? 

Blood pressure is measured using two numbers: systolic (the top number) and diastolic (the bottom number). Systolic pressure measures the force of blood when your heart beats, while diastolic pressure measures the force when your heart is resting between beats. Normal blood pressure typically falls under 120/80 mmHg. When blood pressure rises above these levels, it can be classified as prehypertension or hypertension, depending on how high it is. 

Risk Factors for High Blood Pressure 

Several factors contribute to high blood pressure. Some are beyond your control, but many can be managed or mitigated through lifestyle changes. Key risk factors for hypertension include: 

• Age: Blood pressure tends to rise as you age, particularly after 45 years. 

• Family History: If high blood pressure runs in your family, your risk increases. 

• Obesity: Excess weight puts more strain on the heart and increases blood pressure. 

• Lack of Physical Activity: Sedentary lifestyles can lead to weight gain and higher blood pressure. 

• Unhealthy Diet: Diets high in salt, unhealthy fats, and low in potassium can increase blood pressure. 

• Stress: Chronic stress and poor stress management can contribute to hypertension. 

• Excessive Alcohol: Drinking in excess can lead to high blood pressure. 

• Smoking: Smoking damages blood vessels, leading to higher blood pressure. 

Blood Pressure Management: How to Keep It Under Control 
 

Effective blood pressure management involves lifestyle modifications, dietary adjustments, exercise, and in some cases, medication. Here’s how you can keep your blood pressure within a healthy range: 

1. Adopt a Healthy Lifestyle 

A healthy lifestyle plays a critical role in preventing and managing high blood pressure. This includes maintaining a healthy weight, avoiding smoking, and limiting alcohol intake. Adopting a balanced and nutritious diet while managing stress levels are also essential components of blood pressure control.

2. Dietary Strategies for Hypertension 

Eating a heart-healthy diet can significantly reduce your risk of high blood pressure. Here are some key dietary strategies: 
 

• Reduce Sodium Intake: High sodium levels can cause the body to retain water, leading to higher blood pressure. Limiting salt in your diet is one of the most important dietary strategies you can make. 

• Increase Potassium: Foods like bananas, sweet potatoes, and leafy greens are rich in potassium, which helps counteract sodium’s effects and lower blood pressure. 

• Consume More Fruits and Vegetables: A diet rich in fresh fruits and vegetables is beneficial for heart health and blood pressure regulation. 

• Limit Processed Foods: Processed foods, which are high in unhealthy fats, sugars, and sodium, should be avoided. 

• Focus on Whole Grains and Lean Proteins: Whole grains, lean meats, and plant-based proteins are great options for managing blood pressure.

3. Exercise Recommendations 

Regular physical activity helps lower blood pressure by improving heart function and reducing stress. Engaging in at least 30 minutes of moderate aerobic exercise, such as brisk walking, cycling, or swimming, on most days of the week can significantly reduce your blood pressure levels. 

4. Stress Management 

Chronic stress is a significant contributor to high blood pressure. Finding effective ways to manage stress can help control hypertension. Some effective strategies include: 

• Deep Breathing and Meditation: Practices like deep breathing, yoga, and mindfulness meditation can help reduce stress. 

• Adequate Sleep: Poor sleep can contribute to higher blood pressure. Aim for 7-9 hours of restful sleep each night. 

• Relaxation Techniques: Engaging in activities like reading, gardening, or listening to music can help reduce tension.  

5. Medication Options for High Blood Pressure

For some people, lifestyle changes alone aren’t enough to manage hypertension. In such cases, medications may be prescribed to help lower blood pressure. Common medication options include: 

• Diuretics: These medications help the body eliminate excess salt and water, reducing blood pressure. 

• Beta-Blockers: Beta-blockers work by slowing the heart rate and reducing the heart’s workload. 

• ACE Inhibitors: These medications relax blood vessels by blocking certain enzymes, helping lower blood pressure. 

• Calcium Channel Blockers: These prevent calcium from entering the heart and blood vessels, relaxing them and lowering blood pressure. 

Monitoring Blood Pressure 

Regular monitoring of blood pressure is crucial for managing hypertension effectively. You can monitor your blood pressure at home using an automatic blood pressure cuff or have it checked during doctor visits. Keeping track of your blood pressure readings will help you stay on top of your health and adjust your treatment plan if necessary.

Prevention Strategies for High Blood Pressure 

Preventing high blood pressure is often easier than treating it. Here are some practical prevention strategies: 

• Eat a Heart-Healthy Diet: As mentioned earlier, a diet rich in fruits, vegetables, lean proteins, and whole grains can keep your blood pressure in check. 

• Stay Active: Consistent exercise is essential for preventing hypertension. 

• Limit Salt and Processed Foods: Reducing sodium intake and avoiding processed foods can lower your risk. 

• Manage Your Stress: Practice relaxation techniques and make time for enjoyable activities. 

• Avoid Smoking and Excessive Alcohol: Both smoking and excessive alcohol consumption can raise blood pressure, so limiting these habits can benefit heart health.

Stress is a natural part of life, but when it becomes chronic, it can have a serious impact on your health. One of the most significant risks associated with long-term stress is its impact on heart health. Research has shown a clear connection between stress and heart disease, making stress management an essential part of maintaining cardiovascular health.  Here, we will explore the link between stress and heart disease and provide heart health tips for living a calmer, healthier life. 

How Does Stress Affect the Heart? 

Stress triggers a physiological response in your body, commonly known as the fight or flight response. When you encounter a stressful situation, your body releases stress hormones like adrenaline and cortisol. These hormones cause several changes in the body, including increased heart rate, higher blood pressure, and faster breathing. While this response is helpful in short bursts, constant activation of this stress response can lead to long-term damage to your heart.

Here are some of the ways stress can contribute to heart disease: 

• Increased Heart Rate and Blood Pressure: When your body experiences stress, your heart rate and blood pressure temporarily rise. If this happens too often, it can contribute to hypertension or high blood pressure, which is a major risk factor for heart disease. 

• Inflammation: Chronic stress can cause inflammation in your body, which can damage blood vessels and lead to plaque buildup. This can increase the risk of a heart attack or stroke. 

• Unhealthy Coping Mechanisms: Many people cope with stress by engaging in unhealthy habits like smoking, overeating, or drinking alcohol. These habits can further increase the risk of heart disease. 

The Connection Between Stress and Heart Disease 

There is growing evidence to suggest that chronic stress is not only a risk factor for heart disease, but it can also accelerate the progression of heart-related conditions. Here’s how stress contributes to heart disease: 

1. High Blood Pressure (Hypertension): As mentioned earlier, stress causes a temporary increase in blood pressure. Over time, this can lead to chronic hypertension, which increases the strain on your heart and blood vessels, contributing to heart disease. 

2. Artery Damage: Chronic stress can increase the levels of harmful substances like cortisol in your body. These substances can damage the walls of your arteries, making them more susceptible to plaque buildup and increasing the risk of coronary artery disease (a leading cause of heart disease). 

3. Inflammation: Long-term stress can lead to persistent inflammation in the body, which is another risk factor for heart disease. Inflammation can damage blood vessels and contribute to the development of atherosclerosis, a condition where fatty deposits build up in your arteries. 

4. Emotional Impact: Stress, particularly chronic stress, can lead to anxiety and depression, both of which are linked to a higher risk of heart disease. People who are stressed may also be less likely to engage in healthy habits, such as eating a nutritious diet and exercising regularly.

Tips for Managing Stress to Improve Heart Health 

While you can’t always control the stressors in your life, there are many effective stress reduction techniques that can help protect your heart health. Here are some tips for a calmer, healthier life: 

1. Exercise Regularly 

Physical activity is one of the most effective ways to reduce stress and improve cardiovascular health. Exercise helps to release endorphins, which are natural mood-boosting chemicals in the brain. It also lowers blood pressure, improves circulation, and helps maintain a healthy weight. 

• Aim for at least 30 minutes of moderate-intensity aerobic exercise such as brisk walking, swimming, or cycling on most days of the week. 

• Activities like yoga and tai chi can also help reduce stress and improve flexibility and relaxation. 

2. Practice Mindfulness and Meditation 

Mindfulness and meditation are powerful tools for managing stress. These practices help you become more aware of your thoughts and feelings, allowing you to respond to stress in a healthier way. 

• Try deep breathing exercises to relax your mind and body. 

• Guided meditation or mindfulness apps can help you get started if you’re new to these practices. 

3. Prioritize Sleep 

Lack of sleep is a major contributor to stress and can have a negative impact on your heart health. Poor sleep has been linked to an increased risk of high blood pressure, heart disease, and stroke. Aim for 7-9 hours of sleep each night to give your body the rest it needs to manage stress and recover. 

• Create a relaxing bedtime routine to help you unwind before sleep. 

• Avoid caffeine, alcohol, and heavy meals close to bedtime to ensure better sleep quality. 

4. Maintain a Healthy Diet 

What you eat can play a significant role in both your stress levels and heart health. A healthy diet can help reduce the effects of stress on your body and provide your heart with the nutrients it needs to function properly. 

• Focus on eating a diet rich in fruits, vegetables, whole grains, lean proteins, and healthy fats. 

• Limit your intake of processed foods, refined sugars, and excessive salt, as these can contribute to heart disease and increase stress. 

5. Connect with Others 

Social support is an important factor in managing stress. Spending time with friends, family, or loved ones can help you feel more relaxed and less stressed. 

• Engage in activities that bring you joy and connect you with others, such as going for a walk with a friend or attending social gatherings. 

• If you’re feeling overwhelmed, consider talking to a therapist or counselor who can help you develop coping strategies. 

6. Reduce Caffeine and Alcohol Intake 

Caffeine and alcohol can increase stress and have a negative impact on your heart health. While they may provide short-term relief, excessive consumption of these substances can increase heart rate, raise blood pressure, and contribute to poor sleep. 

• Limit your intake of caffeinated beverages and alcohol to reduce stress and protect your heart. 

7. Take Breaks and Relax 

Taking regular breaks throughout the day can help prevent stress from building up. Taking time for yourself to relax, whether it’s through reading, listening to music, or enjoying a hobby, can help you feel more balanced. 

• Try taking a 10-minute break during your workday to step outside, stretch, or practice deep breathing. 

• Schedule time each week to engage in activities that help you relax and unwind. 

Stress-Related Symptoms to Watch For 

It’s important to recognize stress-related symptoms before they become overwhelming. Symptoms like irritability, muscle tension, headaches, difficulty sleeping, or feeling anxious can indicate that stress is affecting your mental health and, by extension, your heart health. If these symptoms persist, it’s a good idea to seek professional help and consider incorporating stress reduction techniques into your routine. 

FAQ’s on Stress and Heart Disease 

It’s important to maintain a healthy diet to reduce the risk of cardiovascular health issues and also to promote overall wellbeing. We need to understand that a healthy heart diet is not just eating low-calorie foods, but it is also about choosing those nutrient dense foods that are rich with essential vitamins, minerals, healthy fats and antioxidants. This is ideally the right food that can help in reducing cholesterol, maintain healthy blood pressure and reduce inflammation to contribute to a healthier heart. 

Try to incorporate these 10 heart-healthy foods into your daily meal planning to make it nutritious as well as delicious.

1. Salmon: A Powerhouse of Omega-3 Fatty Acids 

Salmon is a top choice for heart-healthy eating. This fatty fish is rich in omega-3 fatty acids, which are known for their ability to lower blood pressure, reduce inflammation, and prevent the buildup of plaque in the arteries. Omega-3s can also help reduce the risk of heart disease by lowering triglycerides and improving cholesterol levels. To enjoy the cardiovascular health benefits, aim to eat two servings of fatty fishlike salmon per week as part of your meal planning. 

2. Avocados: Healthy Fats for a Healthy Heart 

When it comes to heart-healthy eating, avocados are a must-have. They are packed with monounsaturated healthy fats, which are the good kinds of fats that can help lower bad cholesterol (LDL) levels while maintaining or increasing healthy cholesterol (HDL). Avocados are also loaded with fiber, which plays an essential role in lowering cholesterol levels and improving cardiovascular health. Incorporate avocado slices into salads or spread them on whole-grain toast for a nutrient-packed breakfast. 

3. Berries: Antioxidants for Heart Protection 

Berries, such as blueberries, strawberries, and raspberries, are rich in antioxidants and anthocyanins, which are compounds that help reduce inflammation and protect the heart from oxidative stress. These antioxidants also play a key role in heart disease prevention by preventing damage to blood vessels and lowering the risk of high blood pressure. For a heart-healthy snack, enjoy a handful of fresh berries or add them to smoothies, oatmeal, or salads. 

4. Leafy Greens: Nutrient-Dense Powerhouses 

Leafy greens like spinach, kale, and Swiss chard are excellent sources of vitamins, minerals, and fiber. They are particularly rich in potassium, which helps manage blood pressure by counteracting the effects of sodium in the body. These vegetables are also packed with antioxidants, promoting heart health and reducing inflammation. Incorporating leafy greens into your daily diet is one of the best ways to support your cardiovascular health and maintain a balanced diet. 

5. Nuts: Fiber and Healthy Fats for Cardiovascular Support 

Nuts, especially almonds, walnuts, and pistachios, are fantastic additions to any heart-healthy diet. They are rich in fiber, healthy fats, and antioxidants that contribute to lowering LDL cholesterol levels and improving blood vessel function. Walnuts are high in omega-3 fatty acids, providing an added boost to your cardiovascular health. Keep a small handful of nuts in hand as a quick and satisfying snack or sprinkle them on top of salads or yogurt. 

6. Olive Oil: A Heart-Healthy Cooking Staple 

Olive oil, particularly extra-virgin olive oil, is a staple in heart-healthy Mediterranean diets. It’s packed with monounsaturated fats, which help reduce the risk of heart disease by lowering bad cholesterol levels and improving overall cardiovascular function. The polyphenols in olive oil also possess antioxidant properties, which support heart health by reducing inflammation. When planning a meal, use olive oil as a cooking base or drizzle it over salads for added flavor and nutrition. 

7. Beans and Legumes: High in Fiber and Cholesterol-Lowering Benefits 

Beans and legumes, including lentils, chickpeas, and black beans, are nutrient-dense foods that are rich in both fiber and plant-based protein. Fiber is an essential component of a heart-healthy diet, as it helps lower cholesterol and regulate blood sugar levels. These foods also have a low glycemic index, which helps keep blood sugar stable, further promoting cardiovascular health. Incorporating beans into soups, salads, and stews is a great way to boost your heart-healthy nutrition. 

8. Whole Grains: The Fiber-Rich Choice for Lower Cholesterol 

Whole grains, such as oats, quinoa, and brown rice, are excellent sources of fiber, which is vital for maintaining heart health. Fiber helps to reduce cholesterol levels by binding to cholesterol molecules in the digestive tract and removing them from the body. Additionally, whole grains help stabilize blood sugar levels, preventing spikes and crashes that can lead to inflammation. Opt for whole grains instead of refined grains to boost heart-healthy eating and support long-term cardiovascular health. 

9. Dark Chocolate: A Sweet Way to Protect Your Heart 

Dark chocolate, especially varieties with 70% or higher cocoa content, is a surprising addition to a heart-healthy diet. It is rich in flavonoids, which are antioxidants that have been shown to improve blood flow, lower blood pressure, and reduce the risk of heart disease. However, moderation is key, as chocolate can also be calorie dense. A small square of dark chocolate can be a delicious and heart-healthy treat when consumed in appropriate portions. 

10. Tomatoes: Packed with Lycopene for Cardiovascular Health 

Tomatoes are a rich source of lycopene; an antioxidant that has been shown to help reduce the risk of heart disease by improving cholesterol levels and protecting blood vessels. Lycopene also supports blood pressure regulation and has anti-inflammatory properties. Whether you enjoy fresh tomatoes in salads, cooked in sauces, or roasted as a side dish, they are an excellent addition to any heart-healthy diet. 

Protecting Your Bones for a Stronger Future 

Imagine taking a small step and suddenly experiencing a fracture. Osteoporosis is a silent condition that weakens bones, increasing the risk of fractures even from minor falls or movements. While it often develops without symptoms, early detection and preventive measures can make a significant difference. 

Understanding osteoporosis, its causes, and how to prevent and manage it can help you maintain strong and healthy bones for life. Let’s explore everything you need to know about bone health. 

1. What Is Osteoporosis? 

What It Is: A condition that weakens bones, making them more prone to fractures. 

Common Causes: Aging, hormonal changes, calcium and vitamin D deficiency, and a sedentary lifestyle. 

Who’s at Risk: Older adults, especially postmenopausal women, individuals with a family history, and those with poor dietary habits. 

2. Signs & Symptoms 

What It Is: Osteoporosis is often called a “silent disease” because it progresses without noticeable symptoms. 

Common Signs: Loss of height, back pain, stooped posture, and fractures from minor falls. 

When to Seek Help: If you experience persistent bone pain or fractures with minimal impact. 

3. Prevention: Building Stronger Bones 

What It Is: Steps to maintain bone density and strength. 

Key Strategies: 

• Calcium-Rich Diet: Dairy, leafy greens, and fortified foods support bone strength. 

• Vitamin D Intake: Sun exposure and supplements help calcium absorption. 

• Weight-Bearing Exercises: Walking, jogging, and resistance training strengthen bones. 

4. Managing Osteoporosis 

What It Is: Treatment options to slow bone loss and reduce fracture risk. 

Common Approaches: 

• Medications: Bisphosphonates and hormone therapy may help maintain bone density. 

• Lifestyle Changes: Avoid smoking, excessive alcohol, and improve nutrition. 

• Fall Prevention: Remove tripping hazards, use assistive devices, and strengthen balance. 

5. Importance of Regular Bone Density Tests 

What It Is: A diagnostic test to assess bone health and detect osteoporosis early. 

Who Needs It: Adults over 50, postmenopausal women, and individuals with risk factors. 

How It Helps: Guides early intervention and treatment planning. 

Take Charge of Your Bone Health 

Osteoporosis is preventable and manageable with the right lifestyle choices and medical care. Prioritize bone health through a nutritious diet, regular exercise, and medical check-ups to stay strong and active. 

Frequently Asked Questions (FAQ) 

Comprehensive Vascular Care at Burjeel Medical City

Understanding Varicose Veins

Varicose veins are enlarged, twisted veins that commonly appear on the legs, causing discomfort, swelling, and aching. They develop when vein valves weaken, leading to poor circulation and blood pooling. While often a cosmetic concern, untreated varicose veins can lead to complications such as ulcers, blood clots, and chronic venous insufficiency.

Symptoms of Varicose Veins

Patients with varicose veins may experience:

• Swollen, bulging veins that appear blue or purple
• Aching, heaviness, or discomfort in the legs
• Swelling around the ankles and feet
• Burning or throbbing sensations
• Leg cramps, especially at night
• Skin discoloration or ulcers in severe cases

Causes and Risk Factors

Several factors contribute to the development of varicose veins, including:

• Genetic predisposition
• Prolonged standing or sitting
• Aging, which reduces vein elasticity
• Pregnancy, due to increased blood volume and hormonal changes
• Obesity, which puts extra pressure on veins
• A sedentary lifestyle affecting circulation

Diagnosis and Treatment

At Burjeel Medical City, we use advanced diagnostic tools, including ultrasound imaging, to assess varicose veins and underlying venous conditions. Our treatment options include:

Conservative Management: Compression stockings, leg elevation, regular exercise, and dietary modifications.

Minimally Invasive Procedures:

• Endovenous Laser Treatment (EVLT)
• Radiofrequency Ablation (RFA)
• Sclerotherapy
• Foam Sclerotherapy
• Microphlebectomy

Surgical Treatments:

• Vein Stripping and Ligation
• Ambulatory Phlebectomy

Diabetic Foot Ulcers

Diabetic foot ulcers result from poor circulation, nerve damage, and slow wound healing. Without treatment, they can lead to severe infections and even amputation.

Causes and Risk Factors

• Peripheral Arterial Disease (PAD)
• Neuropathy (Nerve Damage)
• Uncontrolled Blood Sugar Levels
• Foot Deformities and Pressure Points
• Infections

Symptoms

• Slow-healing sores or wounds
• Redness, swelling, or warmth around the ulcer
• Drainage or foul-smelling discharge
• Blackened tissue (a sign of gangrene)
• Numbness or tingling

Multidisciplinary Treatment Approach

Burjeel Medical City provides a team-based approach with specialists in vascular surgery, podiatry, endocrinology, plastic surgery, infectious diseases, orthopedics, and orthotics. Treatment options include:

• Non-Surgical Treatments: Advanced wound dressings, offloading techniques, infection management, and blood sugar control.
• Minimally Invasive Procedures: Angioplasty, stenting, and atherectomy.
• Hyperbaric Oxygen Therapy (HBOT): Increases oxygen supply to damaged tissues.
• Surgical Interventions: Bypass surgery, skin grafts, and limb salvage surgery.

Peripheral Arterial Disease (PAD)

PAD occurs when arteries supplying blood to the legs become narrowed due to plaque buildup, causing pain, mobility issues, and non-healing wounds.

Causes and Risk Factors

• Diabetes
• Smoking
• High Blood Pressure and Cholesterol
• Obesity and Sedentary Lifestyle
• Aging and Family History

Symptoms

• Leg pain and cramping
• Numbness or weakness in the legs
• Cold feet or toes
• Slow-healing wounds
• Skin discoloration

Diagnosis and Treatment

Burjeel Medical City offers:

• Non-Surgical Management: Lifestyle modifications, supervised exercise therapy, and medication.
• Minimally Invasive Procedures: Angioplasty, stenting, and atherectomy.
• Surgical Interventions: Bypass surgery and endarterectomy.

Carotid Artery Disease

Carotid artery disease results from plaque buildup in the carotid arteries, increasing the risk of stroke. Early detection is key to prevention.

Causes and Risk Factors

• Atherosclerosis
• Hypertension
• High Cholesterol and Diabetes
• Smoking
• Obesity and Sedentary Lifestyle
• Age and Genetics

Symptoms

• Sudden weakness or numbness
• Difficulty speaking
• Vision problems
• Dizziness or balance issues
• Severe headache

Diagnosis and Treatment

Burjeel Medical City provides:

• Diagnostic Tests: Carotid ultrasound, CT angiography, and cerebral angiography.
• Medical Management: Medications, lifestyle modifications, and diabetes control.
• Minimally Invasive Procedures: Carotid artery stenting.
• Surgical Interventions: Carotid endarterectomy.

Hemodialysis Vascular Access

Reliable vascular access is critical for effective hemodialysis. Our specialized team offers:

• Arteriovenous (AV) Fistula: The gold standard for long-term dialysis access.
• AV Graft: An alternative for patients with small or damaged veins.
• HeRO Graft: A specialized solution for patients with limited vascular access.
• Minimally Invasive Fistula Creation: Reduces recovery time and infection risks.
• Fistulogram and Angioplasty: Diagnoses and treats access site complications.

Vascular Health Screening

Preventive vascular screening is essential for early detection of vascular diseases. We offer:

• Ankle-Brachial Index (ABI): Detects Peripheral Artery Disease.
• Ultrasound for Abdominal Aortic Aneurysm (AAA): Identifies aortic enlargement.
• Intima-Media Thickness (IMT) Testing: Assesses early-stage atherosclerosis.
• Laboratory Tests: Lipid profile, blood glucose levels, and inflammatory markers.

Why Choose Burjeel Medical City?

• Expert Specialists: Our vascular surgeons are highly experienced in treating complex vascular conditions.
• State-of-the-Art Technology: We use advanced diagnostic and treatment techniques for accurate and effective care.
• Comprehensive, Patient-Centered Approach: Every treatment plan is tailored to each patient’s specific needs.
• Minimally Invasive Techniques: Faster recovery, reduced risk, and excellent long-term outcomes.

Take Charge of Your Vascular Health

Early intervention is key to preventing complications. If you experience symptoms or have risk factors for vascular disease, schedule a consultation at Burjeel Medical City today for expert, comprehensive care.

Vascular Health Matters 

Your vascular system is responsible for carrying oxygen and nutrients throughout your body. Poor circulation can lead to fatigue, swelling, cold hands and feet, and even serious conditions like heart disease and stroke. But the good news? Simple daily habits can strengthen your blood vessels, improve circulation, and enhance overall cardiovascular health. 

This guide breaks down easy lifestyle changes that can support vascular wellness, ensuring your heart and circulation stay strong. 

1. Stay Active: Move for Better Circulation 

Exercise is one of the best ways to improve blood flow and maintain strong vascular function. It strengthens the heart, arteries, and veins, helping prevent clogged arteries and varicose veins. 

Best Exercises for Vascular Health: 

Walking – Boosts circulation and lowers blood pressure 

Cycling – Improves leg circulation and cardiovascular endurance 

Swimming – A low-impact option that enhances blood flow 

Yoga & Stretching – Encourages blood movement and flexibility 

Strength Training – Helps maintain healthy blood vessels 

Tip: Aim for at least 30 minutes of movement daily to keep your vascular system in peak condition. 

2. Stay Hydrated: Water Fuels Your Circulation 

Water is essential for blood circulation and heart health. When dehydrated, blood thickens, making it harder to flow smoothly. 

How Much Water Do You Need? 

• 8-10 glasses a day is ideal 
• Increase intake if you exercise or live in a hot climate 
• Herbal teas and infused water also help maintain hydration 

Tip: Start your day with a glass of warm lemon water to kickstart circulation. 

3. Eat for Vascular Health 

Your diet directly affects your circulation. Eating nutrient-dense, heart-friendly foods keeps your arteries clear and prevents vascular issues. 

Best Foods for Circulation: 

• Leafy Greens (Spinach, Kale) – High in nitrates, which improve blood flow 
• Berries (Blueberries, Strawberries) – Rich in antioxidants that protect blood vessels 
• Fatty Fish (Salmon, Tuna, Mackerel) – Packed with omega-3s, reducing inflammation 
• Citrus Fruits (Oranges, Grapefruit, Lemon) – Improve blood vessel function 
• Dark Chocolate (70%+ Cocoa) – Increases blood circulation naturally 

Foods to Avoid: 

• Processed foods high in sodium 
• Sugary snacks and sodas 
• Fried and fast foods 
• Red meat in excess 

Tip: Swap refined grains for whole grains like quinoa, brown rice, and oats for better vascular health. 

4. Manage Stress: A Calm Mind Supports Healthy Circulation 

Chronic stress raises cortisol levels, which can damage blood vessels, increase blood pressure, and reduce circulation. 

Simple Ways to Lower Stress: 

• Deep breathing exercises – Lowers heart rate and improves circulation 
• Meditation or mindfulness – Reduces stress hormones 
• Spending time in nature – Lowers blood pressure naturally 
• Journaling or hobbies – Engaging activities can be a stress reliever 

Tip: Just 5 minutes of deep breathing daily can enhance vascular wellness. 

5. Maintain a Healthy Weight 

Excess weight puts strain on blood vessels, slowing circulation and increasing the risk of varicose veins, high blood pressure, and heart disease. 

Weight Management for Vascular Health: 

• Eat balanced meals with protein, fiber, and healthy fats 
• Avoid crash diets—focus on sustainable weight loss 
• Get regular exercise to improve metabolism 
• Prioritize sleep, as poor sleep is linked to weight gain 

Tip: Losing just 5-10% of excess body weight can significantly improve blood circulation. 

6. Support Blood Flow with Good Posture and Movement 

Sitting for long periods slows circulation and can lead to blood pooling in the legs. Simple adjustments can boost vascular wellness throughout the day. 

• Avoid crossing legs while sitting—this restricts blood flow 
• Take breaks every 30-60 minutes to stretch and walk 
• Elevate legs for 10-15 minutes daily to reduce swelling 
• Wear compression socks if you stand or sit for long hours 

Tip: Try ankle circles and toe stretches during long flights or desk work to keep blood moving. 

7. Get Regular Checkups 

Preventative healthcare is key to detecting vascular issues early. Routine blood pressure, cholesterol, and glucose level checks help prevent problems before they start. 

When to See a Doctor: 

• If you experience persistent leg pain or swelling 
• If you have cold hands and feet frequently 
• If you develop varicose veins or ulcers on legs 
• If you feel dizzy or fatigued often 
• Tip: A vascular specialist can assess circulation issues and offer treatment options. 

FAQs About Vascular Wellness 

1. What are the warning signs of poor circulation? 

Cold hands and feet, swelling in the legs, numbness or tingling, leg cramps, and slow-healing wounds can indicate circulation issues. 

2. Can drinking water improve circulation? 

Yes! Staying hydrated prevents blood from thickening, making it easier to flow through veins and arteries. 

3. Is sitting for long hours bad for vascular health? 

Yes! Sitting for too long can cause poor circulation, blood clots, and varicose veins. Taking breaks and moving regularly improves blood flow. 

4. What’s the best diet for vascular health? 

A Mediterranean-style diet rich in leafy greens, fatty fish, whole grains, and nuts supports heart and circulation health. 

5. How often should I exercise for vascular wellness? 

Aim for at least 30 minutes of moderate exercise, 5 days a week to maintain strong circulation. 

Final Thoughts: Small Daily Habits, Big Vascular Benefits 

Your vascular health is in your hands! By making small, consistent lifestyle changes, you can improve circulation, boost energy levels, and protect your heart for years to come. 

Want to learn more about your vascular health? Schedule a consultation today!

When Joint Pain Limits Your Life 

Imagine struggling with simple daily activities—walking, climbing stairs, or even getting out of bed. Chronic joint pain can significantly impact your quality of life, making even the most routine tasks a challenge. For many, joint replacement surgery provides relief, restoring mobility and comfort. But is it the right choice for you? 

Understanding the signs, benefits, and considerations of joint replacement surgery can help you make an informed decision. Let’s explore what you need to know before taking the next step. 

1. When to Consider Joint Replacement 

What It Is: Surgical procedure to replace damaged joint surfaces with artificial implants. 

Common Causes: Osteoarthritis, rheumatoid arthritis, severe injuries, or joint degeneration over time. 

Signs You May Need It: Persistent pain, limited mobility, and reduced quality of life despite medication and therapy. 

2. Types of Joint Replacement Surgery 

What It Is: Different procedures address specific joints. 

Common Surgeries: Knee, hip, and shoulder replacements. 

Who It’s For: Individuals with severe joint damage unresponsive to other treatments. 

3. Benefits of Joint Replacement 

What It Is: Surgery aims to relieve pain and improve function. 

Key Benefits: Enhanced mobility, pain relief, and a better quality of life. 

Long-Term Outcome: Most patients experience lasting improvement and can resume daily activities.

4. Risks & Recovery 

What It Is: Every surgery carries potential complications. 

Possible Risks: Infection, blood clots, and implant wear over time. 

Recovery Time: Physical therapy is essential, with full recovery taking weeks to months. 

5. Alternative Treatment Options 

What It Is: Non-surgical approaches to joint pain management. 

Options: Physical therapy, lifestyle changes, medications, and joint injections. 

Who It’s For: Those with mild to moderate joint issues who wish to delay surgery. 

Take Control of Your Joint Health 

Joint replacement surgery can be life-changing, but it’s not the only solution. Discuss your options with an orthopedic specialist to determine the best course of action. Whether through surgery or non-invasive treatments, prioritizing joint health can help you stay active and pain-free. 

Frequently Asked Questions (FAQ) 

1. How long does joint replacement surgery take? 

Most procedures last between 1 to 2 hours, but total time in the hospital may vary. 

2. How soon can I walk after surgery? 

Patients are usually encouraged to stand and walk with assistance within 24 hours post-surgery. 

3. What is the lifespan of a joint replacement? 

Most implants last 15 to 20 years, depending on activity levels and overall health. 

4. Will I need physical therapy after surgery? 

Yes, physical therapy is crucial for recovery and restoring mobility. 

5. Are there any restrictions after joint replacement? 

High-impact activities like running or jumping may be limited, but low-impact exercises are encouraged. 

6. When should I see a doctor for joint pain? 

If pain affects daily activities and does not improve with medication or therapy, consult a specialist. 

Are you experiencing symptoms of menopause or curious about the changes it brings? Menopause can be confusing, especially with all the myths circulating. It’s time to separate the facts from fiction. 

This blog will provide clarity on what menopause truly involves, debunk common myths, and offer expert insights on how to manage menopause symptoms effectively. 

What Is Menopause?

Menopause marks the natural end of a woman’s reproductive years, occurring when a woman hasn’t had a period for 12 consecutive months. It typically happens between ages 45-55 and brings about hormonal changes.

Perimenopause, the transitional phase leading up to menopause, often starts several years before the final period.

During this time, hormonal fluctuations trigger changes like hot flashes, mood swings, and irregular periods.

Menopause Symptoms

Common Symptoms:

• Hot flashes
• Night sweats
• Mood swings
• Weight gain
• Vaginal dryness
• Sleep disturbances

Understanding these symptoms is crucial for addressing them proactively. Lifestyle changes and treatment options can ease these discomforts.

Common Myths About Menopause

Myth 1: Menopause only occurs in older women.

Fact: Menopause usually happens between 45 and 55, but it can happen earlier due to medical reasons.

Myth 2: Menopause means the end of a woman’s sexuality.

Fact: Sexual health can remain a positive part of life with the right support and guidance.

Myth 3: Weight gain during menopause is inevitable.

Fact: Weight changes are common, but with proper exercise and dietary considerations, maintaining a healthy weight is possible.

Hormonal Changes During Menopause

Estrogen and Progesterone:

These hormones decrease, leading to various symptoms, such as hot flashes and mood changes.

Effects on Bone Health:

Reduced estrogen levels can affect bone density, making women more prone to osteoporosis after menopause.

Managing Menopause Symptoms: Treatment Options

Hormone Replacement Therapy (HRT):

A highly effective treatment to replenish the estrogen and progesterone levels, alleviating symptoms like hot flashes and vaginal dryness.

Natural Remedies:

Herbs like black cohosh and soy may offer relief, though their effectiveness varies.

Exercise:

Regular physical activity can manage symptoms, improve mood, and reduce weight gain. A good mix of aerobics, strength training, and flexibility exercises is essential.

Diet and Nutrition:

A balanced diet rich in calcium and vitamin D is important for bone health. Avoiding processed foods and focusing on whole grains, lean proteins, and healthy fats helps manage weight.

The Role of Exercise in Managing Menopause Symptoms

Regular exercise helps mitigate the effects of menopause, particularly weight gain, bone health, and mood swings. Aim for at least 30 minutes of moderate exercise most days of the week.

FAQ

Conclusion 

Menopause is a natural life stage, and while it brings about changes, it doesn’t have to be overwhelming. By understanding the symptoms of menopause, debunking common myths, and embracing effective treatments and lifestyle modifications, women can thrive during this phase. Whether through HRT, exercise, or dietary considerations, there are many ways to manage menopause and live a healthy, fulfilling life.